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Hemodynamic Data Analysis and Site of Measurement in Children and Adolescents

Abstract

Pulse wave velocity is a method of functional vascular evaluation. The gold standard is the carotid-femoral pulse wave velocity measurement. However, the software allows measurement among radial, carotid and femoral artery. The goal of our prospective pilot study was to compare pulse wave velocity measurement among different arteries, not only carotid-femoral, in children and adolescents to find out, if the measurement can be performed in a simplified version with comparable results which would be especially important in younger children. Pulse wave velocity was measured in three different ways: carotid-femoral pulse wave velocity in lying position, carotid-radial pulse wave velocity in lying position and carotid-radial pulse wave velocity in sitting position. Additionally, central hemodynamic data were collected. There was statistically significant difference between: carotid-femoral pulse wave velocity and carotid-radial pulse wave velocity in lying position and carotid-femoral pulse wave velocity and carotid-radial pulse wave velocity in sitting position (p < 0.0001 for both). There was no significant difference between carotid-radial pulse wave velocity in lying or sitting position (p = 0.158). Analysis of central hemodynamic data showed statistically significant differences between subendocardial viability ratio (p = 0.001), end systolic pressure (p = 0.001) and central diastolic pressure (p = 0.001) when central hemodynamic data of carotid-radial measurements lying and sitting were compared, but there were no differences when the same parameters were compared between hemodynamic data of both lying positions, except for subendocardial viability ratio. The site of measurement significantly affects pulse wave velocity and can not be interchangeable. On the contrary, the position of the child does not affect pulse wave velocity, but could be important in hemodynamic data analysis.

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Correspondence to Mirjam Močnik.

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Peer review under responsibility of the Association for Research into Arterial Structure and Physiology

Data availability statement: The data that support the findings of this study are available from the corresponding author, M.M., upon reasonable request.

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Močnik, M., Varda, N.M. Hemodynamic Data Analysis and Site of Measurement in Children and Adolescents. Artery Res 27, 20–24 (2021). https://doi.org/10.2991/artres.k.201102.001

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